15720 SW OAKHILL LANE s
15720 SW OAKHILL LANE
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I i �' �} t I c i't MOCIIMIiCal I't,rri�it .� �I
(_ I Fee_
New Ins;;.14tion
�/ Rr:�'ace ❑ Relocation ❑ Addition Alti:ration tate __►�.Z.__.-.-
CC;:TFAGTOR
�__ � II WORK ADDRESS_jC-j �_S.w. O+ \fits L►��
A(1-)RE.� Q._.y — �.alT ses�`�.-�_ �r r- 7T
PHONE _Ccs — ���. y.---- APPLICANTC '' 'erab.?S�d�� --
Heat Input Rating (BTU ;7CLECT
rr)-.�Q�-*C3_0 ___
Vent Size ____-. Flue Size
FUEL OIL ❑ GAS ❑ OTHER
ITEM NO. FEE ITEM NO. FEE
l -- 3.Op _Air Condition Compressor 15 to 30 HP 1U.O(
For Issuance of ?error - - ---
4.00 _Air Handling 0,00D CFM 3.0;
New Unger 100,000 BTU _ _ ----- 5.0(
~�+• New• 100,000 BTU & over - — 5.00 Air Handling Over 10,000 CFM r
Floar Furnace
- -�- 4.00 _ _ Evaporative Cooler 3.0(
4.00 Renge Vent Fan 2.0(
wall _ Floor •Suspended � ----
------ �� 2.00 Vent System _ �— 3 a
Install Vents Only - 3 p(
Repair.• Heat& Cooling - 4.00 Hood Commercial }
-4._00 �Con'imeicifil hurt Systtrn 10A(
Air Condition Compressor Undere3 HP -- I 7.50 _ -_.._. _ ---
:air Condition Compressor 3 to 15 HP --
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INSPECTOR'S CO%1,MENTS-___-__ --- _-^_ --- -
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRACTORS OR SUB•CON'rRACTORS
APPROVED BY -! ISSUED BY DATE
RECEIP-r NO.�___
Signature of Qt'ppli a I
. 1 . PERMIT NO.
ADDRESS S � .J L.j
PERMIT CHARGE none
OWNER ---7, CONNECTION FEE _ Ca L'd• - _ -...._...
PAID BY
TYPE OF BUILDING �JLs� z-��! A - DATE CONNECTED a�
SERVICE RATE INSPECTION FEE S.
o�
CONTRACTOR .__ PAID 3Y DATE
SIZE OF CONNECTION _ ASSESSMENT _ _ PAID
�; ,, r _ � 1
� '1
l�' .2 !yc>p
/v- ��v
3 -S ���
,3�.� ULA
I;'-'BUILDING PERMIT APPLICATION OF
y TIGARID DATE
1HE UNDERSIGNED HEREBY "LIES �_OR APERMIT FOR THE WORK HEREIN INDICATED BUILDLRPHONE_
OR AS SHOWN AND APPRr)\ .-,J IN THE ACCOMPANYING PLANS AND SPECIFICATIONS. OWNER PHONE__
1 t LOT NO,------.
OWNER T•� • `J013 ADDRESS 15720 old 00kh6111 i.1111,10ME.ADDRESS
ARCHITE.T
BUILDER tame ENGINES R
ADDRESS DESIGNI-R
STRUCTURE x eNxE
W ❑REh00EL ❑ADDITION _ ❑REPAIR—❑RENEWAL []FIRE DAMAGE ❑L)EM01.ITION
GOV'T%`^^RMIDENCE ❑COMM OEDUCA,IONAL ❑ ❑RELIGIOUS❑PATIO ❑CARPORT ❑GARAGE [ISTORAGE❑SLAB
❑FENCE
❑BOND ❑MOVING ❑CONDITIONAL USE ❑DESIGN REVIEW ❑COUNCIL APPROVED ❑SIGNS
OCCUPANCY Ii.LAND USE ZONE- BLDG.TYPE— ' FIRE ZUNE_'� PLAN CHECK BY (d�tJ HEAT I''_
1, x.161 mk •-u rN.,.ssus some I4�m 1rJ bt,1 SW yurnmlarf'iald Lo.
framed dwsllir)g w attar,hEid y arsgs 2 bedrooh, 2 baths -- -
E, 1,)fdZ pe.-•cilit sower runn. 1600. sewer_inoaa. L,2;�._ _ ---
BUILDING DEPARTMENT SET BACKS FRONT 13 REAR �16 LEFT SIDE RIGHT SIDE
Permit 136.00 — - -- -- — ----_ — _----
TRIS PERMIT IS ISSUED SUBJFCT TO THE REGULATIONS CO'.RAINED IN THE BUILDING CODE, ZONING
Plan Check 10.00 REGULATIONS AND ALL APPLICABLE CODES AND ORDINAN(ES, AND IT IS PERERY AGREED THAI THE
WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND.PECIFICATIONS AND IN COMPLIANCE WITH
SIii1-total 146,0111 ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT DOES NOT WAIVE
RESTRICTIVE COVENANTS, CONTRACTOR AND SUB CONTRACTORS TO HAVE CURRFNT CITY BUSINESS
Slat-! Tax b.44 LICENSE. SEPARATE PERMITS RFOUIRED FOR SEWER, PLUMBING AND HFATrNG.
Total l ,1.44
By
--'— nPPi.I(ANi OR AGE.Nt
- _ --
Apor^ pd ~� Receipt No.
,. ,..... _...,_._.,..._...,_..._.........._..-........,. ....:...,.,... w.....w.:......:wwr:�..«ru'r'+►.a=;:v me .aYw.
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DATE INSP. TYPE INSPECTION REMARKS PLUMBING DATE
ontractor
A4,1 0-i
Permit No.
I F-
L!!�h I n
Hou
J-1 12XFixture
Final
HEATING
Contractor
Permit No.
Gas or Oil
qciup in
Final
SEWER
Final
DRIVEWAY
Final
Storm Drainage
(Rain D-ain) Final
Sidewalk
Curb&Street Final
Approach
BLDG DEPI,FINAL TEMPORARY CERTIFICATE OCCUPANCY Final
CERTIFICATE OCCUPANCY
Landscaping
Zoning Final
'417
T
i 1
_ P f
158-4
Unified Sewerage Agency
of Washington County C rTY of -___ r� -- DATE
OWNER: Imo_ -- -- PHONE: .
OWNER 'S ADDRESS:
TYPE OF INSTALLATION:
0<r UILDING SEWER ❑ BUILDING SEWER AND SIDE SEWER
TYPE OF OCCUPANCY:
YNEW x� SINGLE FAMILY ❑ COMMERCIAL
❑ CXIST. (PRIOR TO 7--1-70 ) ❑ MULT. RES. ❑ INDUSTRIAL
FIXTURE UNITS__. DWELLING UNITS
ADDRESS OF STRUCTURE :
PERMIT CONDITIONS: THE APPLICANT AGREES TO CIIMPLY WITH ALL RULES AND
REGULATIONS 01 THE UNIFIED SEWERAGE AGENCY. WHEN CALLING FZ.IR INSPECTION ,
PLEASE REFER TO THE PERMIT NUMBER . -,HIS APPLICATION EXPIRES IN ONE--
HUNORED AND TWENTY ( 12o ) DAYS. THE t '-,OIINT PAID WILL BE FORFEITED SHOULD
EXPIRATION OCCUR.
FEES:
PERMIT FEE
CONNECTION CHARGE
SIDE SEWER INSTALLATION .�
ISSUED BY
OTHER ._
TOTAL. G25. Y__-.—.
` APPLICANT DATF
NT 11
!'"SEW ER ER"ANT114
ADr)Rf7SS OF STRUCTURE 1572.0 5W Oakhill Ln.
TA;' HAP --___ . ._ TAX L.01 _. SYSTEM „f.annn creek
L.CIT +�; _-- .13t.f)CK .. _ _. . _ 0 r--
le
B 4 DAJE �-
D. U. ' S REMARKS __4b 1 U y. ;L.1€l C..l.
10
:=>!JILDiNG PERMIT APPLICATION CITY TIGARD DAT,, \J__, 1y.-1 Ll NQ
�r ONDE RSIGNED HEREBY APPLIES FOR APERMIT FOR THE WORK HEREIN INDICATED BUILDER PHONdQ'39_ Q1
ONF AS Sl--OWN AND APPROVED IN THE ACCOMPANYING PLANS AND SPFCIFICATIONS. OWNER PHONE----
LOT
HONE`-_LOT NO.. _
� ArV1�_�w� - 9 ADDRESS 'S .,JL�` ME ADDRESS "I -�_-
bQ s� ?�1�►�!__�,aw�c'_ _ 352 SLJ I _7i
ARCHITEC
ENGINEER
ADDRESS _ ^� -_ DFSIGNER
Q�KEW [IS FMODE L ❑ADDITION^1iMEPAIR --ORENEWAL — ❑FIRE DAMAGE ❑DEM— O�ITIO
'L)ENCE ❑CnMM ❑EDUCATIONAL OGOV'T ORE LIC,IOUS[]. PATIO OCA_RPORT_OGARAGE_❑STORAGEOSLAB QFENCE
OMOVING _ OCONDITIONAL-USE yODLSIGN REVIEW YW OCO_UNCIL APPROVED ❑SIGNS �-
run'CY l AND USE 20NE� _L_ BLDG.TYPE FIRE ZONE-PIAN CHECK BY - HEAT�(^��
Lt�� � _ _'l _Sotih4•-.w�S
—
^BUILDING UEPARIMENT� SETBACKS FRONT REAR LEFT SIDE '� .. RIGHT SIDE
—---- (,[
--
-.���e__.__
"larl Check THIS PERMIT IS ISSUED SUBJECT TO THE REGULATIONS CONTAINED IN THE BUILDING CODE, ZONING iw
1 i REGULATIONS AND ALL APPLICABLE CODES AND ORDINANCES, AOD IT IS HEREBY ^-:REED THAT THE
lil' 1o1aI WORK WILL BE DONE IN ACCORDANCE WITH THE PLANS AND SPEC.�ICATIONS AND IN COMPLIANCE WITH
_ ALL APPLICABLE CODES AND ORDINANCES. THE ISSUANCE OF THIS PERMIT D,J;S NOT WAIVE
-' — �� RESTRICTIVE COVENANTS. CONTRACTOR AND SUB CONTRACTORS T7 HAVE CURRENT CITY BUSINESS
IaIH Tax 11 LICENSE SEPARATE PF RMITS REOUIRED FOR SEWER, PLUMBING AND HEATING.
RY "
------- APPI ICANT U ENT
approved4 r-7-A- -Z-4
Receipt No
A UfruF 55
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